文献詳細
特集 誰も教えてくれなかった緩和医療—最新知識と実践
Ⅳ.求められる看取りのあり方
文献概要
要旨 進行がん患者への化学療法投与は,リスクとベネフィットをよく考慮し,患者とよく話し合いながら進めていくべきである。むやみに化学療法を投与し続けると,患者のQOLを低下させ,命を縮める可能性もある。早期の緩和ケアをいかに導入していくかが,今後の課題となる。
参考文献
1)Schnipper LE, Smith TJ, Raghavan D, et al:American Society of Clinical Oncology identifies five key opportunities to improve care and reduce costs:the top five list for oncology. J Clin Oncol 30:1715-1724, 2012
2)Morita T, Akechi T, Ikenaga M, et al:Communication about the ending of anticancer treatment and transition to palliative care. Ann Oncol 15:1551-1557, 2004
3)Earle CC, Landrum MB, Souza JM, et al:Aggressiveness of cancer care near the end of life:Is it a quality-of-care issue? J Clin Oncol 26:3860-3866, 2008
4)Temel JS, Greer JA, Admane S, et al:Longitudinal perceptions of prognosis and goals of therapy in patients with metastatic non-small-cell lung cancer:results of a randomized study of early palliative care. J Clin Oncol 29:2319-2326, 2011
5)Hashimoto K, Yonemori K, Katsumata N, et al:Factors that affect the duration of the interval between the completion of palliative chemotherapy and death. Oncologist 14:752-759, 2009
6)Earle CC, Landrum MB, Souza JM, et al:Aggressiveness of cancer care near the end of life:is it a quality-of-care issue? J Clin Oncol 26:3860-3866, 2008
7)Temel JS, Greer JA, Muzikansky A, et al:Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 363:733-742, 2010
8)Temel JS, Greer JA, Admane S, et al:Longitudinal perceptions of prognosis and goals of therapy in patients with metastatic non-small-cell lung cancer. J Clin Oncol 29:2319-2326, 2011
掲載誌情報